Bicol University COLLEGE OF NURSING Legazpi City LEVEL III EVALUATION OF STUDENTS RLE (GENERAL WARD)

Name: ________________________________________ ___ Date: ____________________ Shift: ___________

Clinical Area: ______________ General Average: ___________

Objective: At the end of the exposure, the Level III students will have acquired a broad concept of illness, skills, knowledge and attitude in the care of sick in all stages of development in a health care setting utilizing the components of the nursing process. Qualitative Description of Rating: 5-OUTSTANDING 95-100 4-VERY SATISFACTORY 3-SATISFACTORY 2-FAIR 1-NEEDS IMPROVEMENT 90-94 85-89 80-84 75-79

Carries out expected behaviour in a very consistent and independent manner with minimal guidance. Carries out the expected behaviour in a consistent and independent manner but requires moderate guidance and supervision. Carries out the expected behaviour in a consistent and independent manner with frequent guidance and supervision. Carries out the expected behavior with errors even with frequent guidance & supervision. Does not carry out the expected behavior even under close supervision & guidance.

I. PROFESSIONAL COMPETENCE (50%) Utilizes nursing process in the care of assigned clients. 1. ASSESSMENT a. Health history (medical, surgical, gynecologic, obstetric, and pediatric patients) b. Simple physical assessment b.1. Interview/inspection b.2. Interpretation of laboratory and diagnostic tests. c. Analysis of data gathered based on scientific concepts and principles. d. Formulates specific nursing diagnosis. 2. PLANNING a. Identifies/defines with client and family his/her needs/problems. b. Formulates objectives (SMART). c. Involves clients significant others in the plan of care. d. Prioritizes with client and family the identified needs/problems. e. Utilizes available resources in the plan of care. f. Formulate discharge plan. g. Utilizes relevant research findings in the care of sick client. 3. IMPLEMENTATION a. Organizes work according to priority of clients needs/problems. b. Assists and prepares client for procedures indicated to patients in medical, surgical, gynecologic, obstetric, pediatric areas. c. Carries out appropriate nursing interventions and its rationale. d. Modifies nursing approach to meet clients needs. e. Reports and records appropriately all necessary information following agency format. f. Collaborates, coordinates with other members of the health team (physician, medical technologist, social worker, etc). g. Utilizes leadership principles and appropriate style in nursing care. 4. EVALUATION a. Evaluates effectiveness of the total care given based on the objectives formulated. b. Identifies constraints that influence and/or hinders the attainment of objectives. c. Formulates alternative courses of action when needed. AVERAGE

95-100

90-94

85-89

80-84

75-79

REMARKS

II. PERSONAL ATTRIBUTES (20%) 1. Conducts self in professional manner. 2. Observes punctuality in all activities. 3. Carries self with confidence and dignity. 4. Displays emotional stability in various situations. 5. Works harmoniously with others. 6. Performs added responsibility when required. 7. Demonstrates self-confidence, motivation and belief in his/her ability to practice his/her profession independently. 8. Shows leadership in initiating participation in nursing care. 9. Shows openness, respect for and willingness to listen to the opinion of others. 10. Displays presence of mind and calmness and values appreciation of immediate action in saving lives during emergency situations. 11. Respect others, acknowledges and accepts contribution of other members of the health team. 12. Accords patient care based on needs and not for other consideration. 13. Voices out his/her opinion when he/she thinks he/she is right. 14. Develops and demonstrates desirable personal and professional qualities and attitudes as shown by: a. Appearing neat and clean and smelling good. b. Applying minimum make-up. c. Respecting individual differences. d. Taking time to entertain questions from family members. e. Making use of available time productively. AVERAGE III. REQUIREMENTS (30%) 1. Nursing care plan 2. Drug study 3. Written examinations 4. Complete paraphernalia 5. Clean and complete uniform 6. Drug handbook/ MIMS 7. Case presentation with AV materials 8. Discharge/ teaching plan 9. Health teachings and evaluation 10. Bedside clinic 11. Others, please specify AVERAGE

95-100

90-94

85-89

80-84

75-79

REMARKS

95-100

90-94

85-89

80-84

75-79

REMARKS

CLINICAL INSTRUCTORs comments/ suggestions:

____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ________________________________________________________________________________________________________

_____________________________

________________

__________________________________

Students Signature

Date

Clinical Instructors Signature